This project was established through the Border Infectious Disease Surveillance (BIDS) program in Arizona (AZ) to monitor infecting respiratory pathogens among hospitalized patients with Severe Acute Respiratory Infections (SARI) in the AZ border region from September 2010 to the present.
Objective
To present the epidemiology, clinical aspects, and laboratory results of AZ SARI case patients and to describe respiratory viruses in the AZ border region.
Infectious diseases can spread across borders. The Arizona Department of Health Services (ADHS) collects information on binational infectious disease cases and shares it with Mexico. Infectious disease investigation in Arizona is enhanced by using an electronic surveillance platform known as the Medical Electronic Disease Surveillance Intelligence System (MEDSIS), and in 2010 a specific variable for binational cases with Mexico was added to the platform. ADHS also maintains a binational case definition in the state reportable communicable morbidities manual. Arizona partners with the US Centers for Disease Control and Prevention (CDC)âs Division of Global Migration and Quarantine (DGMQ), US Mexico Unit (USMU), in a monthly binational case reporting project, and shares information with the Ministry of Health of the State of Sonora, Mexico, (SON MOH) to reinforce ongoing communication, to establish baseline disease patterns, and to help detect binational outbreaks. In 2007, the Ministry of Health of the State of Sonora began to use the MEDSIS system for real-time secure case notification, and secure file sharing, using the Arizonaâs Health Services Portal and secure e-mail accounts for confidential communication between both states.
Objective:
To describe 5 years of binational infectious disease surveillance using the binational variable in the medical electronic surveillance system in Arizona.
In 2014, a dengue outbreak affected northern Mexico and travel-associated dengue cases increased in southern Arizona. While Arizona has not detected a local dengue case, local transmission occurred in Nogales, Sonora, sister city of Nogales, Arizona across the border. The detection of the Aedes aegypti mosquito, a dengue and chikungunya vector, and the frequent human movement across the border with Sonora heightens Arizona’s risk for introducing emerging mosquito-borne diseases. Limited data exists on the extent or seasonality of Aedes mosquitoes in Arizona border counties.
Since 2003 some Arizona counties have followed mosquito surveillance protocols to trap the West Nile Virus vector, Culex spp., using CO2 traps. Despite low sensitivity of these traps to detect Aedes spp., one out of seven CO2 traps deployed in Santa Cruz County detected Aedes aegypti in 2014. Enhancing surveillance for Aedes spp. in this region is critical, given that local transmission of dengue has occured across the border in Nogales, Sonora. Limited resources in Santa Cruz County have previously inhibited efforts to enhance mosquito surveillance . To broaden the reach of county surveillance, we implemented a community participatory project by engaging residents to conduct ovitrapping, a non-technical trap that attracts Aedes spp.
Objective
The objective of this work is to develop an efficient communitybased strategy to enhance mosquito surveillance for Aedes spp., vector for chikungunya and dengue viruses, in Santa Cruz County on the U.S.-Mexico border. We aim to determine vector presence, distribution, and seasonality by using ovitraps maintained by community members.
As part of a statewide effort to enhance surveillance for Aedes spp.mosquitoes the Office of Border Health (OBH) took the lead inproviding technical assistance on surveillance in counties bordering Mexico. In 2016, OBH sought ways to enhance surveillance in a wider geographic area. Trap locations closer to the border were established as a priority, given high amount of traffic across the international line, high border Aedesmosquito activity, and native cases of dengue reported at the border in Mexico.
Objective
This surveillance project aims to increase and broaden coverage o fAedes spp. ovitrap locations in Arizona’s U.S.- Mexico border region through interagency collaboration.